New Patient Form Instructions: 

The forms must be completed to set up your appointment. When you arrive for your appointment please come 15 minutes early and bring your insurance card, and a valid form of photo ID (e.g. passport, drivers license)  with you.

If you are coming in for couples, relationship, or marriage counseling, please individually complete the Patient History Form and Patient Problem Survey for each of you.

New Patient Intake Forms

Intake Form

Release of Information

Clients seeing Randy Hendricks - additional required form 

Client Disclosure with Therapist

Cancelation Policy: We have a 24 hour cancellation policy. If you cancel your appointment late or do not show up, you will be charged in full for the appointment. Your insurance company cannot be billed for this charge.